| Personalized Therapy, Llc | |
|
1005 Prince Frederick Blvd Ste 102 Prince Frederick MD 20678-3195 | |
| (301) 862-2505 | |
| (301) 862-2548 |
| Full Name | Personalized Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1005 Prince Frederick Blvd Ste 102, Prince Frederick, Maryland |
| Authorized Official Name and Position | Melanie Ann Lohwater (OWNER) |
| Authorized Official Contact | 3018622505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Therapy, Llc 22593 Three Notch Rd California MD 20619-3054 Ph: (301) 862-2505 | Personalized Therapy, Llc 1005 Prince Frederick Blvd Ste 102 Prince Frederick MD 20678-3195 Ph: (301) 862-2505 |
| NPI Number | 1063980290 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063980290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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